The cervix, also called the cervix, is the lowest point of the uterus that opens into the vagina.
It is normally closed and tight during pregnancy. As the gestational week progresses, the cervix gradually softens, decreases in length and begins to dilate as the pregnant woman prepares to give birth.
When the cervix begins to open prematurely and becomes too weak to carry the baby, this is called cervical insufficiency. This leads to premature birth or miscarriage.
Pregnant women with cervical insufficiency may not have any symptoms or complaints in the early weeks of pregnancy. Sometimes between 14-20 weeks of pregnancy. There may be mild discomfort or spotting that lasts for a few days or weeks starting between weeks 14 and 20 of pregnancy.
Symptoms include a feeling of pelvic pressure, back and lower back pain, abdominal cramping, change in the nature of the discharge, bleeding or spotting.
Cervical insufficiency can be caused by trauma, surgical procedures to treat cervical anomalies, ruptures in previous births, the person's own structure of connective tissue and genetic disorders.
In the treatment of cervical insufficiency, medical treatment can be added with cerclage, which is the stitching of the cervix or petzer applications.